Abstract

MUNOZ I VIDAL, J.; GARCIA GUTIERREZ, J.J.  and  GABILONDO ZUBIZARRETA, F.J.. Organization of treatment in panfacial trauma and complex midfacial fractures. Cir. plást. iberolatinoam. [online]. 2009, vol.35, n.1, pp.43-54. ISSN 1989-2055.

Managing of Panfacial and midface trauma requires not only basic knowledge of osteosintesis principles; an order of treatment should be developed by surgeon before surgery and it must be made for each patient. In this article we report the methodology of reduction, fixation and treatment planning of panfacial and midface trauma in our hospital. We analyse 102 facial trauma treated by our department between 2005 and 2006. There were 14 patients with midface high energy trauma, 4 of those associated to mandible or upper face subunit fractures. Extraocular motility, air way, correct oclussal relationship, minimum aesthetic sequel and correct recreating of facial dimensions define our goals. A multidisciplinary approach to these patients is imperative. Due to the complexity of these cases, there is not place allowed for improvisation and a previous accurate anamnesis, exploration and order of treatment is absolutely required. This leads to a proper management, an anatomic bone threedimensional reconstruction, preservation of soft structures according to previous patient's anthropometry and minimum aesthetic sequel in a single surgery time.

Keywords : Facial trauma; Orbital trauma; Internal rigid fixation.

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